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Individual

AARON D SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
100 N PINE ST, PITTSBURG, KS 66762-4744
(620) 231-3750
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(620) 231-3750

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45780
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
161797
BCBS
KS
05
463278
KS
01
481209286
TAX ID
KS
Enumeration date
09/28/2006
Last updated
05/05/2015
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